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Walberton (South Coast) Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 May 2019

About the service:

Walberton (South Coast) is a residential care service. The service consisted of four houses Russett, Melrose, Pippin and Fortune. Russet and Melrose were bigger than most domestic style properties. It is registered to provide support for up to 33 people living with complex needs, a learning disability or autism. 31 people, both young and older adults, were living at the service, at the time of the inspection. This is larger than current best practice. However, the size of the service having a negative impact on people was lessened by people living across four houses and the building design fitting into the residential area. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; promotion of choice and control, independence and inclusion. People's support focussed on them having as many opportunities as possible for them to gain new skills and become more independent.

People’s experience of using this service:

¿Quality assurance processes had improved since the last inspection. However, they failed to identify issues in relation to MCA and DoLS.

¿The registered managers and staff did not always have a good understanding of the Mental Capacity Act (2005) (MCA) or Deprivation of Liberty Safeguards (DoLS). Conditions on two people’s DoLS were not known or understood by the registered managers or staff. The registered managers had not fully implemented the providers policies and systems to effectively support this practice. ¿ ¿Capacity assessments and best interest decisions did not consistently take place and outcomes were not always documented.

¿People were supported to have maximum choice and control of their lives however it was unclear if staff supported them in the least restrictive way possible, as best interest decision meetings did not always occur. The policies and systems in the service did not always support this practice.

¿The registered managers were not fully aware of their regulatory responsibilities in relation to their registration with the Care Quality Commission (CQC).

¿People were safe from the risk of abuse. ¿There were sufficient numbers of staff to meet people's need. A relative told us, “He is safe at Walberton, the staff are there for him. I know he feels safe as he is happy living there.”

¿Staff had the skills and knowledge to deliver effective care and support. ¿People were supported to maintain a balanced diet and had access to healthcare services as and when needed.

¿People were treated with kindness and respect. ¿People's independence was promoted and their differences respected. People were supported to develop and maintain friendships.

¿Care was personalised to meet people's care, social and wellbeing needs. ¿People had access to a range of activities that met their interests.

¿People, their relatives and staff were complimentary of the management of the service

Inspection areas

Safe

Good

Updated 2 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 2 May 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 2 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 2 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 2 May 2019

The service was not always well-led

Details are in our Well-Led findings below.